We combined online and in person teaching to curate a hybrid environment. The online component was comprised of a pretest followed by interactive modules on anesthetic specifications in non-cardiac surgery in a patient with LVAD and impella. The participants also received informative handouts outlining anesthetic specifications and management of cardiac arrest in a patient with LVAD. An in-situ simulation-based station was set up with a mannequin and two facilitators. A group of 8 participants at a time were assigned to manage a cardiac arrest in a LVAD patient in a 10-minute simulation. Our hybrid setting combined
the benefits of one-on-one teaching with the convenience and accessibility of online platforms. The in person grand rounds offered direct engagement and interactive activities with the ability to self-evaluate. The online component allowed participants to learn at their own time and pace. We plan to incorporate this curriculum in our routine didactics to train faculty and residents.